Cochlear implantation in Meniere ’s disease

Meniere ’s disease (MD) is characterized by fluctuating hearing loss, episodic vertigo, tinnitus, and aural fullness. Whether secondary to intervention or to natural disease progression, a considerable subset of patients with MD has nonserviceable hearing in at least one ear. As such, cochlear implantatio n counseling and decision-making in the setting of MD must take into account the patient׳s surgical history. In patients who have undergone prior surgical labyrinthectomy, particular care must be taken in identifying the incus and facial nerve as the lateral semicircular canal has been removed.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Authors: Source Type: research